MRS. SUSAN E FRASER (NPI# 1396249488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396249488 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN E FRASER |
| Credential | RDH, IPDH |
| Practice Address |
50 New Portland Rd Gorham ME 04038-1542 |
| Mailing Address |
Po Box 116 Bar Mills ME 04004-0116 |
| Practice Telephone | 2079296857 |
| Mailing Telephone | 2073180430 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 583 | ME | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164738514 | Susan Jane Fraser | Pharmacist | 118 -136 Meadow St, Littleton, NH 03561 | 2010-08-24 |
| 1831411255 | Susan K Fraser | Massage Therapist | 526 North Ave, Rock Hill, SC 29732-3029 | 2010-02-26 |
| 1932187663 | Susan L Fraser | Internal Medicine | 1624 S I St, Suite 305, Tacoma, WA 98405-5016 | 2006-01-03 |
| 1023003621 | Susan M Fraser | Internal Medicine | 620 10th Street N., St. Petersburg, FL 33705-1407 | 2005-09-20 |
| Street Address |
50 NEW PORTLAND RD |
| City | GORHAM |
| State | ME |
| Zip Code | 04038-1542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184615320 | Gorham Health Care Inc | Skilled Nursing Facility | 50 New Portland Rd, Gorham, ME 04038-1542 | 2005-11-04 |
| 1194324194 | Samantha Smith | Physical Medicine & Rehabilitation | 50 New Portland Rd, Gorham, ME 04038-1542 | 2020-10-21 |
| 1275015299 | Nancy C Rollo | Physical Therapist | 50 New Portland Rd, Gorham, ME 04038-1542 | 2018-09-06 |
| 1417437500 | Maria Di Gangi | Speech-Language Pathologist | 50 New Portland Rd, Gorham, ME 04038-1542 | 2018-08-17 |
| 1053890673 | Elizabeth Devito | Physical Therapy Assistant | 50 New Portland Rd, Gorham, ME 04038-1542 | 2018-08-14 |
| 1013496801 | Kaylin Jade Dore | Occupational Therapist | 50 New Portland Rd, Gorham, ME 04038-1542 | 2018-08-13 |
| 1184113755 | Dawn Nadeau | Physical Therapist | 50 New Portland Rd, Gorham, ME 04038-1542 | 2018-05-09 |
| 1801392261 | Jessica Roberts | Occupational Therapist | 50 New Portland Rd, Gorham, ME 04038-1542 | 2018-04-04 |
| 1609322106 | Emily Lewis | Occupational Therapist | 50 New Portland Rd, Gorham, ME 04038-1542 | 2016-08-25 |
| 1174721351 | Amber Lynn Brown | Occupational Therapist | 50 New Portland Rd, Gorham, ME 04038-1542 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749039 | Lindsey Anne Thomsen | Physician Assistant | 15 Caitlin Drive, Gorham, ME 04038 | 2020-04-21 |
| 1124537600 | Helping Hearts Home Care | Home Health | 46 Farrington Rd, Gorham, ME 04038 | 2017-09-27 |
| 1689109019 | Deborah Ann Cooper | In Home Supportive Care | 46 Farrington Road, Gorham, ME 04038 | 2017-04-24 |
| 1184056400 | Katherine Pritchard | Speech-Language Pathologist | 1002 Wagner Farm Road, Gorham, ME 04038 | 2013-08-09 |
| 1043565013 | Jennifer Brooke Turcotte | Social Worker | 697b Gray Rd, Gorham, ME 04038 | 2012-07-17 |
| 1326356296 | Gail Trefethern-kelley | Occupational Therapist | 75 School Street, Suite 2, Gorham, ME 04038 | 2010-09-14 |
| 1396963245 | Jaime Marie Tardif | Social Worker | 72 Justice Way, Gorham, ME 04038 | 2007-04-23 |
| 1033234224 | Marie A Pedersen | Social Worker | 39 Finn Parker Road, Gorham, ME 04038 | 2007-03-20 |
| 1205971330 | Victor Liberi | Specialist/Technologist | 33 College Ave., University of So. Maine, Gorham, ME 04038 | 2007-02-20 |
| 1467595322 | Susanne Martornao | Occupational Therapist | 14 Murray Drive, Gorham, ME 04038 | 2007-02-14 |
| Find all providers in zip 04038 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939025 | Raghda A. Salman | Dental Hygienist | 1036 Brighton Ave # Unitea, Portland, ME 04102-1059 | 2020-07-07 |
| 1184250599 | Britta Noel Griffiths | Dental Hygienist | 1881 Route 109, Acton, ME 04001 | 2020-03-17 |
| 1013475060 | Shannon Rachel Faxon | Dental Hygienist | 120 Mount Hunger Shore Rd, Windham, ME 04062-5636 | 2019-03-08 |
| 1902376031 | Susan Marie Perron | Dental Hygienist | 33 Island View Ln, Brunswick, ME 04011-3550 | 2018-12-02 |
| 1043794993 | Jolene Pierce | Dental Hygienist | 1 Cumberland Pl Ste 116, Bangor, ME 04401-5087 | 2018-09-17 |
| 1306337290 | Maine Dental Boutique, LLC | Dental Hygienist | 16 Commerce Plz Ste 1a, Winthrop, ME 04364-1562 | 2018-05-25 |
| 1033627633 | Joleen Lee | Dental Hygienist | 201 Texas Ave, Bangor, ME 04401-4324 | 2018-01-17 |
| 1811408446 | Kimberly Morgan Fichthorn | Dental Hygienist | 168 Main St Ste C, Winthrop, ME 04364 | 2017-10-23 |
| 1942728332 | Mackenzie Erin Chancellor | Dental Hygienist | 186 Lowelltown Rd, Wiscasset, ME 04578 | 2017-09-06 |
| 1437677101 | Michelle Colleen Carlson | Dental Hygienist | 2402 Route 2 Ste E, Hermon, ME 04401-0666 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.